Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBM
Diabetes Mellitus (DM) and obesity are a public health problem in Chile. Bariatric surgery is the most effective treatment alternative to achieve a significant and sustained weight reduction in patients with morbid obesity. The results of controlled clinical trials indicate that, compared to medical...
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| Lenguaje: | Spanish / Castilian |
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Sociedad Médica de Santiago
2018
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| Acceso en línea: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001175 |
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oai:scielo:S0034-988720180010011752019-03-07Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBMSAPUNAR,JORGEESCALONA,ALEXARAYA,A. VERÓNICAAYLWIN,CARMEN GLORIABASTÍAS,MARÍA JULIANABOZA,CAMILOCÁRCAMO,CARLOSCSENDES A,ATTILADAVIDOF F,PATRICIOFUNKE,RICARDOGÓMEZ,PATRICIAGONZÁLEZ,MARÍA ISABELLAHSEN,RODOLFOLANZARINI,ENRIQUEMAÍZ,ALBERTOMUJICA,VERÓNICAMUÑOZ,RODRIGOPÉREZ,GUSTAVORAIMANN,FÉLIXSALMAN,PATRICIOSEPÚLVEDA,MATÍASSOTO,NÉSTORVILLAGRÁN,RODRIGO Bariatric Surgery Consensus Diabetes Mellitus, Type 2 Diabetes Mellitus (DM) and obesity are a public health problem in Chile. Bariatric surgery is the most effective treatment alternative to achieve a significant and sustained weight reduction in patients with morbid obesity. The results of controlled clinical trials indicate that, compared to medical treatment, surgery for obese patients with DM2 allows a better control of blood glucose and cardiovascular risk factors, reduces the need for medications and increases the likelihood for remission. Consensus conferences and clinical practice guidelines support bariatric surgery as an option to treat DM2 in Class III Obesity (Body Mass Index (BMI) > 40) regardless of the glycemic control and the complexity of pharmacological treatment and in Class II Obesity (BMI 35-39,9) with inadequate glycemic control despite optimal pharmacological treatment and lifestyle. However, surgical indication for patients with DM2 and BMI between 30-34.9, the most prevalent sub-group, is only suggested. The Chilean Societies of Endocrinology and Diabetes and of Bariatric and Metabolic Surgery decided to generate a consensus regarding the importance of other factors related to DM2 that would allow a better selection of candidates for surgery, particularly when weight does not constitute an indication. Considering the national reality, we also need a statement regarding the selection and characteristics of the surgical procedure as well as the role of the diabetologist in the multidisciplinary team.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.146 n.10 20182018-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001175es10.4067/S0034-98872018001001175 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Bariatric Surgery Consensus Diabetes Mellitus, Type 2 |
| spellingShingle |
Bariatric Surgery Consensus Diabetes Mellitus, Type 2 SAPUNAR,JORGE ESCALONA,ALEX ARAYA,A. VERÓNICA AYLWIN,CARMEN GLORIA BASTÍAS,MARÍA JULIANA BOZA,CAMILO CÁRCAMO,CARLOS CSENDES A,ATTILA DAVIDOF F,PATRICIO FUNKE,RICARDO GÓMEZ,PATRICIA GONZÁLEZ,MARÍA ISABEL LAHSEN,RODOLFO LANZARINI,ENRIQUE MAÍZ,ALBERTO MUJICA,VERÓNICA MUÑOZ,RODRIGO PÉREZ,GUSTAVO RAIMANN,FÉLIX SALMAN,PATRICIO SEPÚLVEDA,MATÍAS SOTO,NÉSTOR VILLAGRÁN,RODRIGO Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBM |
| description |
Diabetes Mellitus (DM) and obesity are a public health problem in Chile. Bariatric surgery is the most effective treatment alternative to achieve a significant and sustained weight reduction in patients with morbid obesity. The results of controlled clinical trials indicate that, compared to medical treatment, surgery for obese patients with DM2 allows a better control of blood glucose and cardiovascular risk factors, reduces the need for medications and increases the likelihood for remission. Consensus conferences and clinical practice guidelines support bariatric surgery as an option to treat DM2 in Class III Obesity (Body Mass Index (BMI) > 40) regardless of the glycemic control and the complexity of pharmacological treatment and in Class II Obesity (BMI 35-39,9) with inadequate glycemic control despite optimal pharmacological treatment and lifestyle. However, surgical indication for patients with DM2 and BMI between 30-34.9, the most prevalent sub-group, is only suggested. The Chilean Societies of Endocrinology and Diabetes and of Bariatric and Metabolic Surgery decided to generate a consensus regarding the importance of other factors related to DM2 that would allow a better selection of candidates for surgery, particularly when weight does not constitute an indication. Considering the national reality, we also need a statement regarding the selection and characteristics of the surgical procedure as well as the role of the diabetologist in the multidisciplinary team. |
| author |
SAPUNAR,JORGE ESCALONA,ALEX ARAYA,A. VERÓNICA AYLWIN,CARMEN GLORIA BASTÍAS,MARÍA JULIANA BOZA,CAMILO CÁRCAMO,CARLOS CSENDES A,ATTILA DAVIDOF F,PATRICIO FUNKE,RICARDO GÓMEZ,PATRICIA GONZÁLEZ,MARÍA ISABEL LAHSEN,RODOLFO LANZARINI,ENRIQUE MAÍZ,ALBERTO MUJICA,VERÓNICA MUÑOZ,RODRIGO PÉREZ,GUSTAVO RAIMANN,FÉLIX SALMAN,PATRICIO SEPÚLVEDA,MATÍAS SOTO,NÉSTOR VILLAGRÁN,RODRIGO |
| author_facet |
SAPUNAR,JORGE ESCALONA,ALEX ARAYA,A. VERÓNICA AYLWIN,CARMEN GLORIA BASTÍAS,MARÍA JULIANA BOZA,CAMILO CÁRCAMO,CARLOS CSENDES A,ATTILA DAVIDOF F,PATRICIO FUNKE,RICARDO GÓMEZ,PATRICIA GONZÁLEZ,MARÍA ISABEL LAHSEN,RODOLFO LANZARINI,ENRIQUE MAÍZ,ALBERTO MUJICA,VERÓNICA MUÑOZ,RODRIGO PÉREZ,GUSTAVO RAIMANN,FÉLIX SALMAN,PATRICIO SEPÚLVEDA,MATÍAS SOTO,NÉSTOR VILLAGRÁN,RODRIGO |
| author_sort |
SAPUNAR,JORGE |
| title |
Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBM |
| title_short |
Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBM |
| title_full |
Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBM |
| title_fullStr |
Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBM |
| title_full_unstemmed |
Rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. Consenso SOCHED/SCCBM |
| title_sort |
rol de la cirugía bariátrica/metabólica en el manejo de la diabetes mellitus 2. consenso soched/sccbm |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2018 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872018001001175 |
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